Billing & Insurance
Health care insurance is intended to cover some, but not all, of the cost of your child’s medical treatment. Please familiarize yourself with your specific policy by contacting your benefits office or by calling the phone number listed on your insurance identification card.Families with no insurance, payment is due in full at time of service. You should be aware of any deductibles, coinsurance and copayments, as well as, non-covered services.Payment for all copays and non-covered services is expected at each visit to our office. Payment may be made by cash, personal check, Visa or MasterCard.
You will be asked at each visit if your insurance is still the same. We ask this question to keep our records as accurate as possible, and also to properly file to your insurance company for payment of the services we provide to your child. All patients receive the same medical treatment in our office regardless of insurance coverage.
Participating health plans change contracts frequently. Please check with our business office if you are changing health plans. As of 1/1/2016, we participate with the following listed insurance plans. However, since contracts frequently change, it is important to call and verify that we still participate.
FPA participates with:
- Aetna (HMO and PPO)
- Aetna Innovation Health
- Aetna Signature Partners
- Anthem (HMO and PPO)
- Anthem Health keepers Plus (Medicaid MCO) (for existing patients only)
- Bright Health Care
- Care First (HMO and PPO)
- Champ VA (Courtesy File)
- Cigna (HMO and PPO)
- Cigna Connect
- First Health/PHCS
- Humana
- Johns Hopkins (US Family Health and EPHC)
- MediNcrease
- Multiplan
- Optima
- Prime Health Services
- Student Resources (UHC)
- Tricare
- United Healthcare (HMO and PPO)
- United Healthcare Community Plan (Medicaid MCO) (for existing patients only)
- Virginia Health Network
- Virginia Medicaid
- Virginia Premier Health Plan (Medicaid MCO)
- Web TPA
FPA does NOT participate with:
- Kaiser (HMO)
- Aetna Better Health of VA (Medicaid MCO)
- Magellan Complete Care of VA (Medicaid MCO)
- Optima Health Community Care (Medicaid MCO)
- Virginia Premier Kaiser (Medicaid)
- Department of Veterans Affairs
- Molina
*Not all locations are open to new Medicaid patients. Please call our office to see if we participate with your Medicaid Insurance Plan.
We will file insurance claims for those patients with insurance plans in which we participate. If we do not participate with your insurance company and in the case of hospitalization, you will be provided with a statement of the charges for services provided to your child in the hospital by our physicians. This statement will satisfy the “Physician/Supplier” section of the insurance claim form, which you are responsible for filing to receive reimbursement from your insurance company. The insurance company will usually respond to your request for reimbursement within 30 to 45 days. If you do NOT hear from them within this time, please contact them to determine the delay. You will continue to receive a monthly statement from us until the account, which is your responsibility, is paid in full.